05-102606 City of Federal Play Electrical Permit #: 05 - 102606 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305C
Project Name: LABIZON
Project Address: 30512 24TH' i(A U E. $W Parcel Number: 889420 0070
Project Description: Install low-voltage,T-stat wioring for a new 3,393 sqft single-family residence with 621sgft attached
garage
Owner Applicant Contractor
ALEX&ALINA LABIZON ALEX&ALINA LABIZON ALEX&ALINA LABIZON
4506 240TH ST SW 4506 240TH ST SW 4506 240TH ST SW
MOUNTLAKE TERRACE WA 98043 MOUNTLAKE TERRACE WA 98043 MOUNTLAKE TERRACE WA 98043
(206)423-0077
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Thermostat
PERMIT EXPIRES November 30,2005.
Permit issued on June 3,2005
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date:
THIS CARD IS TO REMAIN ON-SITJ
•
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-102606-00-EL
Owner: ALEX & ALINA LABIZON
Address: 30512 24TH AVE SW
FEDERAL WAY, WA 98023
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections
are logged on the back of this card.
0 Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
- By - - --Date—-- -- - - By —Date By Date
•
0 Temporary Power(4275) Service(4235) -❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By • 110/ Date LAC)(ok By Date
do Rough Electrical(4225) , LI 1_, Ceiling Cover(4020) .❑ Final-Electrical(4055)
Approved Approved Approved
By " ` Date(o\At6, By Date By Date
.❑ Under-slab groundwork(4295)
Approved
By Date
Carrot 11th RECEIVED - v
Federal Way PERMIT � - - �
SF MF CO EL
c1DMMITDBVELOPMSATSE�N 0 3 2005 L DE EN FP
33325 S
2s' RA SOUTH
'ro97iBOXS 4PPLICATION
FEDERAL WAY, X 5$063-971
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sasz6o7•FAxzt�CpjF FEDERAL
meamd ysaketegu. U I LD I N G DEPT.
The ollowi • is -• lied in ormation-an i .4y,•tete a••lication will not be acce•ted. Please •rint 1e•ibl in or
�/�, IPA PROPERTY INFORMATION /,f
SITE ADDRESS Ju/ 12 G Y��JR S 1 , F e,&�t e L,(,7G )/ i�W 'Y, -SUITE/UNIT•
ASSESSOR'S TAX/PARCEL I C - _ /_` LOT SIZE(s.0
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) Y L 1 t-X14 L-U L /
Math separate pope*Mgflry+4d dsactipOaV
/ _
'r1 PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION .ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
k(�v, voz tale .a e, ,U z/0.-i Lrl ke,I . .
PROJECT NAME(Name of Business or Owner Last N• -
A
III PEOPLE INFORMATION
PROPERTYNAME �
OWNER L e x ` /`2 sc.)Lj PRIMARY PHONE
MAI O ADDRESS CITY,STATE
.ZIP 719 ,/,475 Si -udf-e, %illi g '/.'
CONTRACTOR COMPANY N/TAME APPLICANT NAME
C nl CO t.1 s i e C( Ow to, )( z y�/i c'fi,3j OFFICE PHONE _
MAILING ADDRESS /CITY,STATE ZIP CELL PHONE
tl/3 ,i,/v.s t �' 6if -j u/i..S'/__>- c2c61yy� -007 7
• CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE . FAX NUMBER
-B L / / ( -
CONTRACTORS REGISTRATION NUMBER(copy.f card required with mach application( EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑Tenant ❑Agent 0 Other(Describe) ( )
CONTACT NAME PRIMARY PHONE
(2OE ) yz_5 -co?7 E-MAIL ADDRESS
�'X I C2
LENDER .-fr. ;.4.:,,,,' • • :,-.. ,,,,-,,,i,,:,:0-,, :, NAME
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING US • •OPOSED USE Ili\
EXISTING ASSESSED/APPRAI ' • t t - $ VAL• ' OF PROPOSED WORK
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYS EM PROPOSED •+'•UIRED? a YES a NO
WATER SERVICE PROVIDER a LAICEHAVEN O HIGHLINE a TACO ,► : •RIVATE(WELL)
SEWER SERVICE PROVIDER O LAKEHAVEN a HIGHLINE 0 PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST -
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESC 'E)
•
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS MOST= OPOSCD TOTAL51,Tt.!. -_
qtr 1, ,•+iifgy RO -
.2 i., r-
**NEW HOMES ONLY** NUMBER OF BEDROOMS TIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fudure to be ins ' •d or reloca -d as part of this project. Do not include existing fudures to remain.
MECHANICAL
Value of Mechanical Work $
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS OODS(C.mmerdaq WOODSTOVES
BOILERS • . FIREPLACE INSERTS • GES • MISC(Describe)
• COMP RS FURNACES GAS • .TER HEATERS
GAS PIPE OUTLETS
PLUMBING
BATHTUBS(.r Tub/SbowerC.mbo) SHOWERS WATER CLOSETS croup MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom saotay V+CUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that •rmatlon furnished by me is true and correct to the best of my knowledge,and further,that I
am authorised by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE '11DATE �C "��-%--
(Siyuture) (Title)
RELATIONSHIP TO PROJECT ",Owner o Agent ❑ Contractor ❑ Architect 0 Other
,u0L)f'r(C1�[ '4l'k��`d,UCti(i)f � 474•YVI'h , ` t.
. _ - - .-- _- - _ __ �-• -T c._.._f �1'�1�{'.y1 1•
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it;:)fe ;TOM' l= :t�� 03
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts.Pcnnit Application
. •
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE /NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage ❑ 101-200 amp 141.00 89.00
(Inspected with service) $44.00 0 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601-800 amp 398.50• . 168.50
O 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00
Service Feeder
❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
0 401 -600 amp 193.00 96.00
❑ 601 -800 amp 247.00 132.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0to200amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
❑ 0 to 200 amp $87.00
❑ 201 -600 amp 141.00 ❑ #of circuits to be added/altered
' ❑ over 600 amp 212.50 (1-5 circuits-$89.00;Addn circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps _ $69.50
❑ 101-200 amps 89.00
O 201-400 amps 104.50
❑ 401-600 amps - 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
❑ i #of Thermostats ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
0 Low Voltage 0 Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $104.50
0 Security Alarm System ❑ Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
0
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
(Per System(s) 1.8 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296-46910(5W&(i)
Bulletin#100-January 7,2005 Page 3 of 4 k\HandoutssPennit Application